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General NPI Number Information
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NPI Number | 1366591653
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Entity Type | Individual
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Provider Name | EILEEN SPILLANE-GRIECO PHD,DSW
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 215 MORRIS AVE
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City | SPRING LAKE
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State | NJ
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Zip | 07762-1360
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Country | US
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Telephone | 732-449-0126
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Fax | 732-449-0126
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Provider Business Mailing Address
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Address Line | 2530 ALGONKIN TRL
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City | MANASQUAN
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State | NJ
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Zip | 08736-2051
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Country | US
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Telephone | 732-449-0126
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Fax | 732-449-0126
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC00388000
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License Number State | NJ
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